Individual
DONNA FRANCES WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
634 LEONARD AVE, UNIONDALE, NY 11553-2526
(516) 455-5996
Mailing address
634 LEONARD AVE, UNIONDALE, NY 11553-2526
(516) 455-5996
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
538401
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
538401
RN LICENSE
NY
Enumeration date
09/28/2010
Last updated
09/28/2010
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